Case File
efta-01370743DOJ Data Set 10OtherEFTA01370743
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01370743
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
tent Enift Identifier tOpMina4
II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Name and Title of Natural Person Opening Account:
(JEFFREY E. EPSTEIN, PRESIDENT
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
JEEPERS, INC., A USVI CORPORATION
6100 RED HOOK QUARTER, B3
St THOMAS, USVI 00802
c. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement,
understanding, relationship or otherwise, owns 25 percent or more of the equity Interests of the legal entity listed above:
i Name
(Meet Birth
Legal Address
I For U.S. Persons:
Social Socurity
I
I Nombre
For Non.US. Pomona:
(See fOotrION 1 ior alto:nal ...
to Sacral Security Number)
JEFFREY E. EPSTEIN
16100 RED HOOK QUARTER, B3
I=
ST. THOMAS, USVI 00802
,
• FIX Non-U.S. Persons. in aoCiUon to a Social Security Number or a Passport Number wan Country of :ssuance. an alien identification card nurrc-ft, or nurntme
one count/ye asuante of tny other goecrintent-issued doximent evidencing rtatimality or resecence and baathv a Photograph or rnrtar salepard VlOold
prOlteed.
(If no indrinual moots diis definition. please k.wite 'Nat aeolicae.1
d. The following information for one individual with significant responsibility for managing the legal entity listed above,
such as:
• An executive officer or senior manager (e.g.. Chief Executive Officer. Chief Financial Officer, Chief Operating Officer.
Managing Member, General Partner. President, Vice President. Treasurer); or
• Any other individual who regularly performs similar functions.
(If appropriate, an individual listed under section (c) above may also be listed in this section (a)).
Name
Cate of Sinn
I Legal Address
n
ABOVE
JEFFREY E. EPSTEIN j SEE
I For U.S. Persony:
For Non-US. Parsons:
i Social Security
(See footnote f for alternatives
Number
to SeeeeSsarrny Mantel)
• For Non-US. Peraons• in addition to a Social Security Number or a Panp,xt Number WWI Country of Issuance. an arca IrentiSeinion cord :Jumper. or number
and country of Issuance of any other goyarnrmnt-isfrurtd document evrelanoMq normality et resdence and bearing a utast:eh uh ce rumger safeguard thou'
be provided.
(name of natural person opening the account), hereby certify to the best of
ded above is complete and correct.
51,044c Cpc
Signature Verific
r
Name (Print
oN.
Title:
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0063752
SDNY_GM_00209936
EFTA01370743
Technical Artifacts (2)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Domain
non.usSWIFT/BIC
CORPORATIONRelated Documents (6)
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